NPI:
1568554681
Provider Name:
GREAT LAKES FAMILY DENTAL GROUP - OTISVILLE, P.C.
Doing Business As: LAKEVILLE DENTAL CLINIC, PC
Classification:
Dentist - 1223G0001X
Entity Type:
Organization
Specialization: General Practice
Address:
380 N STATE
OTISVILLE, MI
ZIP 48463
Phone:
(810) 631-4524
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GREAT LAKES FAMILY DENTAL GROUP - OTISVILLE, P.C. is a general practice dentist in Otisville, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GREAT LAKES FAMILY DENTAL GROUP - OTISVILLE, P.C. NPI is 1568554681. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lakeville Dental Clinic, Pc.
The provider's business location address is:
380 N STATE
OTISVILLE, MI
ZIP 48463
Phone: (810) 631-4524
Fax: (810) 631-7041
The provider's authorized official is Katelyn M Reinert .
The authorized official title is Office Manager and has the following contact phone number (810) 631-4524.
The enumeration date for this NPI number is 9/28/2006 and was last updated on 5/2/2019.